DR. MICHAEL J.A. LONGO (NPI# 1740770981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740770981 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL J.A. LONGO |
| Credential | DC |
| Practice Address |
4902 Tacoma Mall Blvd Tacoma WA 98409-7149 |
| Practice Telephone | 2534730300 |
| Practice Fax Number | 2534730305 |
| Mailing Telephone | 2534730300 |
| Mailing Fax Number | 2534730305 |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH60838165 | WA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023162443 | Michael James Longo | Chiropractor | 600 Wooster St, Lodi, OH 44254-1326 | 2007-01-23 |
| 1497375828 | Michael Longo | Student in an Organized Health Care Education/Training Program | 1161 21st Ave S, Nashville, TN 37232-0012 | 2020-04-27 |
| 1679955959 | Michael V. Longo | Radiology | 593 Eddy St, Providence, RI 02903-4923 | 2015-06-23 |
| 1114228210 | Michael Anthony Longo | Physician Assistant | Hsc T12 Rm 080, Stony Brook, NY 11794 | 2010-11-06 |
| 1144450446 | Michael J Longo | Counselor | 85 E Newton St, Best Program, Boston, MA 02118-2340 | 2009-07-21 |
| 1821183377 | Michael Longo | Dentist | 310 Main Street, East Haven, CT 06512 | 2006-10-03 |
| 1508838467 | Michael Joseph Longo | Internal Medicine | 1100 9th Ave, Seattle, WA 98101-2756 | 2006-02-06 |
| 1528053600 | Michael Longo | Internal Medicine | 500 Martha Jefferson Dr, Charlottesville, VA 22911 | 2005-09-15 |
| Street Address |
4902 TACOMA MALL BLVD |
| City | TACOMA |
| State | WA |
| Zip Code | 98409-7149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932147998 | Rcc Ps | Chiropractor | 4902 Tacoma Mall Blvd, Tacoma, WA 98409-7149 | 2006-06-03 |
| 1316552367 | Veaceslav Beniamin Goras | Chiropractor | 4902 Tacoma Mall Blvd, Tacoma, WA 98409-7149 | 2020-09-15 |
| 1164913836 | Laurie N. Dille | Massage Therapist | 4902 Tacoma Mall Blvd, Tacoma, WA 98409-7149 | 2018-05-29 |
| 1740725175 | Abbie T Gipson | Massage Therapist | 4902 Tacoma Mall Blvd, Tacoma, WA 98409-7149 | 2016-12-20 |
| 1356709562 | Taylor Sue Yohann | Massage Therapist | 4902 Tacoma Mall Blvd, Tacoma, WA 98409-7149 | 2016-02-02 |
| 1386968378 | Michelle Gonzales | Specialist | 4902 Tacoma Mall Blvd, Tacoma, WA 98409-7149 | 2010-03-18 |
| 1124358189 | Robert A. Brant | Chiropractor | 4902 Tacoma Mall Blvd, Tacoma, WA 98409-7149 | 2010-01-13 |
| 1285887257 | Stephanie Marie Guthrie | Massage Therapist | 4902 Tacoma Mall Blvd, Tacoma, WA 98409-7149 | 2008-11-03 |
| 1912096306 | Kevin R Long | Specialist | 4902 Tacoma Mall Blvd, Tacoma, WA 98409-7149 | 2006-10-12 |
| 1750482683 | Nicole L Long | Chiropractor | 4902 Tacoma Mall Blvd, Tacoma, WA 98409-7149 | 2006-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053942805 | Terah Jo Barker | Behavior Technician | 4301 South Pine St., Suite 505, Tacoma, WA 98409 | 2020-01-30 |
| 1427526797 | Carrissa Bentley | Social Worker | 3901 S. Fife Street, Tacoma, WA 98409 | 2018-11-05 |
| 1396255972 | Julie Ann Sunada | Nurse Practitioner | 2505 S 38th St Ste 109, Tacoma, WA 98409 | 2017-10-09 |
| 1306389820 | Laura Town | Chiropractor | 3640 S Cedar St, Ste P, Tacoma, WA 98409 | 2016-12-01 |
| 1114476082 | Chelsea Marie Jensen | Massage Therapist | 701 Commerce Street Apartment 307, Tacoma, WA 98409 | 2016-10-03 |
| 1831574730 | Artika Naidu | Optometrist | 4502 South Steele #700, Located Inside Macy's Lenscrafters, Tacoma, WA 98409 | 2015-07-22 |
| 1972918399 | Tacoma Dental and Implant Center Ps | Clinic/Center | 4704 South Oakes St #103, Tacoma, WA 98409 | 2014-06-24 |
| 1457795957 | Ana Amparo Penas Vasquez | Clinical Nurse Specialist | 2505 South 38th St, Bldg A Suite 109, Tacoma, WA 98409 | 2013-04-26 |
| 1033452156 | Richard William Solitaire | Counselor | 4301 S. Pine St., 30-19, Tacoma, WA 98409 | 2013-03-27 |
| 1790042810 | Tara Kerin Garland | Counselor | 5921 S. Verde St., Tacoma, WA 98409 | 2012-04-13 |
| Find all providers in zip 98409 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083240287 | Zindt Chiropractic Center Pllc | Chiropractor | 3819 S. M St., Tacoma, WA 98418 | 2020-03-19 |
| 1346883949 | Nilda Liz Ramos Gonzalez | Chiropractor | 6105 Fawcett Ave, Tacoma, WA 98408-6329 | 2019-10-26 |
| 1164985958 | Bradley Warren Finlayson | Chiropractor | 6201 Pacific Ave Ste A, Tacoma, WA 98408-7423 | 2019-04-09 |
| 1396245635 | Raymond Chiropractic Inc | Chiropractor | 1702 S 72nd St Ste A, Tacoma, WA 98408-1238 | 2018-02-13 |
| 1659894020 | Brent Douglas Froberg | Chiropractor | 1201 Pacific Ave Ste 6006th, Tacoma, WA 98402-4301 | 2017-07-18 |
| 1306389820 | Laura Town | Chiropractor | 3640 S Cedar St, Ste P, Tacoma, WA 98409 | 2016-12-01 |
| 1336526425 | Carlos Garcia | Chiropractor | 7817 Pacific Ave Ste A, Tacoma, WA 98408-7028 | 2015-04-28 |
| 1124413687 | Jessica Mitchell | Chiropractor | 6002 Westgate Blvd Ste 110, Tacoma, WA 98406-2580 | 2015-04-01 |
| 1598177792 | Elizabeth Collier | Chiropractor | 6901 6th Ave # 8, Tacoma, WA 98406-1705 | 2014-05-22 |
| 1790101483 | Patrick J Mcveigh | Chiropractor | 115 N Yakima Ave, Apt 501, Tacoma, WA 98403-2239 | 2014-03-05 |
| Find all providers in TACOMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.